Wiki 72275-59

abrodskycpc

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Aurora, Illinois
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Hi all,

I work for a billing company and we just took on a new pain management client. I am confused on the way they are billing 72275.

We normally do not bill 72275 out in the facility setting. We have only been billing it with the professional charges with modifier 26. I?m noticing that the previous company was billing this code under the facility with a 59 and again under the professional with a 26. Can you provide any type of reasoning why they would be doing that? So far, I have not seen any payments or denials coming in for that code under the facility.

Is there any reason why the previous place would have been doing it like this?

Thanks!
 
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